Toward a nurse-oriented management framework for premature ovarian insufficiency: Integration of guidelines and consensus recommendations.

Objectives: To assess the methodological quality of recent clinical practice guidelines (CPGs) and consensus statements on premature ovarian insufficiency (POI) to formulate a nurse-oriented management framework, thus promoting nurses' adherence and advancing evidence-based nursing practice. Methods: A systematic search was conducted to identify CPGs and consensus statements on POI published in English or Chinese between 2019 and 2024. The methodological quality of included CPGs was independently assessed by two authors using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. Similarly, the quality of consensus statements was evaluated using the Joanna Briggs Institute (JBI) Checklist for Text and Opinion papers. Recommendations from high-quality publications were extracted and synthesized into a preliminary management framework. This framework was specifically tailored to align with the perspective and clinical context of nursing practice. The preliminary framework was subsequently refined through an expert consultation process to ensure its validity and practicality. Results: Four CPGs and two consensus statements, all rated as "high quality", were included in the framework. Concordance between the authors ranged from substantial to near-perfect agreement (0.79-1.0). In developing the framework, recommendations from the CPGs were identified and consolidated into three categories: management of high-risk POI populations, management of POI patients, and management of patients with POI-related complications. Conclusions: The included CPGs and consensus statements concerning POI were all recommended for use in clinical practice. Using existing evidence, we developed a nurse-oriented management framework to bolster nurses' adherence to the guidelines and foster evidence-based nursing practices. Further research is needed to provide evidence-based health care in this field.